General Medical Consultation
Aeromedical Exam
Driver License Medical Exam
Preventive Care Consultation
Travel Medicine Consulation
Vaccinations
Patient's Provision
Initial Exam
Revalidation/Renewal
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First Name
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Last Name
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Social Security Number
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Phone
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E-Mail
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Age
Destination(s)
Planned activities
Start of journey
Travel duration
Exam class
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Class 1
Class 2/LAPL
Class 3/ATCO
Cabin Crew
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Exam type
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Initial Exam
Revalidation/Renewal
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Vaccination against Tick borne encephalitis (TBE)
COVID-19 vaccinations with the new KP.2 variant vaccine (from the 6th month of life)
Influenza with the 2024/2025 seasonal vaccine (no age limit)
Hexavalent vaccine against Diphtheria, Tetanus, Pertussis (Whooping Cough), Hepatitis B, Poliomyelitis (Polio), and Haemophilus influenzae type b (up to the 6th birthday)
Diphtheria, Tetanus, Pertussis (Whooping Cough), and Poliomyelitis (Polio) (between the 6th and 15th birthday)
Measles-Mumps-Rubella (no age limit)
Rotavirus (up to the age of 24 weeks)
Hepatitis B (between the 7th and 15th birthday)
Pneumococci (up to the 2nd birthday)
Meningococci ACWY (between the 11th and 12th birthday)
Human Papillomavirus (HPV) (between the 9th and 30th birthday)
I am not sure
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